Pre-registration and Denial Prevention Specialist

Capitol Imaging Services•Metairie, LA

9d•Remote

About The Position

Capitol Imaging Services (CIS) is a rapidly expanding outpatient diagnostic imaging provider with 60 centers across six states in the Gulf Coast and Southeastern United States. CIS offers advanced imaging services such as PET/CT, MRI, CT, mammography, ultrasound, and X-ray, emphasizing accessible, high-quality care and an exceptional patient experience. As CIS continues to grow, we are seeking skilled professionals in denial prevention and patient experience to assist patients in navigating their care confidently and ensure consistent service delivery across all locations. CIS fosters a team-oriented environment that employees recommend to friends and family. Join us to grow and help shape the future of outpatient imaging. The Regional Pre-Registration & Denial Prevention Specialist is responsible for ensuring reimbursement protection before the patient's arrival. This role collaborates with outsourced vendors, technology partners, and internal CIS locations and teams to verify insurance coverage, obtain comprehensive benefit information, clearly communicate patient financial responsibility, and secure necessary prior authorizations before patient scheduling and service.

Requirements

Minimum of 3 years of experience in healthcare pre-registration, insurance verification, prior authorization, patient access, denial prevention, or revenue cycle operations.
Working knowledge of commercial, Medicare, and Medicaid coverage, benefits, eligibility, authorization, and reimbursement requirements.
Ability to analyze denial and workflow trends, identify root causes, and translate findings into practical corrective actions.
Strong communication, organization, training, follow-up, and problem-solving skills.
Ability to work effectively across facility teams, outsourced vendors, technology partners, and revenue cycle leadership.
Experience with healthcare technology platforms, payer portals, eligibility tools, and electronic medical record or practice management systems.

Nice To Haves

Outpatient imaging or radiology pre-registration, authorization, benefit, or patient estimate experience.
Front-end denial management and denial prevention experience.
Experience monitoring vendor or automation performance.
Strong analytical and reporting skills.

Responsibilities

Coordinate daily with outsourced vendors, technology partners, and CIS facility teams to ensure pre-registration and financial clearance work is accurate, timely, and complete.
Confirm active insurance coverage and eligibility for the scheduled date of service, including the correct payer, plan, member information, network status, and coverage details.
Obtain and document complete benefit information, including copayments, coinsurance, deductibles, remaining deductible balances, coverage limitations, and other patient responsibility.
Ensure patient benefits and expected financial responsibility are communicated clearly to the patient before the service, supporting informed decisions and time-of-service collections.
Identify when prior authorization, precertification, referral, or other payer approval is required and ensure it is obtained and documented before the patient is scheduled and seen.
Investigate and resolve discrepancies involving eligibility, benefits, authorization, network participation, patient estimates, and registration information before they affect care or reimbursement.
Monitor the quality, timeliness, and accuracy of work completed by vendors, internal teams, and automated technology tools; escalate gaps and drive corrective action.
Review front-end denials and payment variance information to identify root causes related to coverage, eligibility, authorization, registration, or pre-service workflow errors.
Track trends by facility, payer, modality, vendor, and denial reason; communicate findings and recommend specific actions to prevent recurrence.
Provide education, feedback, and workflow guidance to facility teams and partners to promote consistent pre-registration standards and accountability.
Perform quality audits, maintain clear documentation, and support reporting on verification, authorization, patient collections, denial prevention, and financial clearance performance.
Partner with revenue cycle leadership and operational teams on process improvements that increase clean claims, accelerate payment, and reduce revenue leakage.